Noma yimuphi umama noma ubaba angakhathazeka kakhulu uma bebona ngokuzumayo ibala legazi noma amabili ezingutsheni zangaphansi zendodakazi yabo encane, akunjalo? Kuvamile kakhulu ukuzizwa wesaba uma ubona into efana nale, ikakhulukazi njengoba ingane isencane. Kodwa lokhu akuyona into okufanele uyesabe ngaso sonke isikhathi. Ngezinye izikhathi lokhu kungabangelwa yisimo esikhuluma ngaso namuhla, okuyisimo esingavamile kodwa esingesabekayo esibizwa ngokuthi i-Urethral Prolapse. Ngakho-ke ake sixoxe ngalokhu ngokucacile namuhla.
Kuyini i-Urethral Prolapse?
Kalula nje, lokhu kwenzeka lapho ulwelwesi oluncane lwe-urethra, ipayipi elithwala umchamo lisuka kwesinyeni liye ngaphandle komzimba wethu, luphuma. Kwabesifazane, i-urethra itholakala kancane ngaphezu kwesitho sangasese sowesifazane. Ngakho-ke lapho ulwelwesi lwangaphakathi lwale payipi luphuma, lubukeka njenge-donut encane epinki ephuma esikhaleni lapho kuphuma khona umchamo.
Lesi yisimo esingavamile kakhulu. Sithinta cishe owesifazane oyedwa kwabesifazane abangu-5,000. Akusona isimo esisongela ukuphila , futhi asisona umdlavuza . Ngakho-ke ungakhathazeki ngaso. Lesi simo sivame kakhulu kwabesifazane abangakafiki eminyakeni yokuthomba kanye nabesifazane asebethombile.
Kungani lokhu kwenzeka enganeni? Yiziphi izizathu?
Akukho sizathu esisodwa nesiqinisekile salokhu okwamanje. Kodwa-ke, odokotela bakholelwa ukuthi kunezici eziningana eziyingozi ezingaba nomthelela kukho. Zonke lezi zinto ziholela ekwandeni okungazelelwe komfutho wesisu.
Cabanga ngakho, izinto ezinjengalezi zingandisa ukucindezeleka kwangaphakathi kwesisu:
- Ukukhwehlela okungapheli: Uma ingane iqhubeka nokukhwehlela kakhulu.
- Ukuqunjelwa: Uma unenkinga yokuphuma kwendle, kungenxa yokucindezeleka okutholayo ngaleso sikhathi.
- Ukutheleleka Kwendlela Yomchamo (UTI): Uma unesifo sokutheleleka kwendlela yomchamo njalo.
- Ukukhuluphala: Ukukhuluphala nakho kungaba yimbangela.
- Ukulimala: Uma kwenzeka okuthile kuleyo ndawo, njengokushaywa kanzima noma ukuwa.
Elinye iphuzu elibalulekile ukuthi ngaphambi kokuthomba, amantombazane anamazinga aphansi e-hormone 'i-Oestrogen' emizimbeni yawo. Lokhu kungabangela ukuba izicubu ezizungeze i-urethra zibe buthaka. Lobu buthakathaka bungabangela nokuthi ulwelwesi luphume ngale ndlela.
Ziyini izimpawu? Uzibona kanjani?
Cabanga nje, cishe izingane eziyi-10% ezinalesi simo zingase zingabonisi zimpawu. Kungatholakala ngengozi lapho ziya kudokotela ukuze zithole okunye. Kodwa, uma kuvela izimpawu, ake sibone ukuthi ziyini.
| Isibonakaliso | Incazelo |
|---|---|
| Amabala egazi ezimpahleni zangaphansi | Lolu uphawu oluvame kakhulu. Lungase lubonakale njengamaconsi amancane egazi ezingutsheni zangaphansi. Yilokhu okukhathaza abazali abaningi. |
| Ubuhlungu lapho uchama | Ezinye izingane zizwa ubuhlungu noma ukusha lapho zichama. Odokotela bakubiza lokhu ngokuthi i-dysuria. |
| Ubunzima bokuchama | Ngezinye izikhathi, kungaba nzima ukukhipha ngokuphelele isinye sakho (ukugcinwa komchamo). |
| Ukuzwela kwendawo | Indawo ingase izwakale ibuhlungu kancane ngemva kokuchama nokusula. |
| Ukuvuvukala kwezicubu eziphumayo | Uma lesi simo siqhubeka isikhathi eside, izicubu eziphumayo zingavuvukala, zibe buhlungu futhi zibe buhlungu. |
Udokotela ukuxilonga kanjani lokhu? (Ukuxilongwa)
Into engcono kakhulu ongayenza uma ubona into efana nalena ukuyisa ingane yakho kudokotela, ikakhulukazi udokotela wezingane .
Ezimweni eziningi, udokotela angaxilonga lesi simo ngokuhlola ingane (ukuxilongwa kwezokwelapha). Lokhu kungasolwa uma kubonakala izicubu ze-glandular ezipinki noma ezinsomi ziphuma e-urethra.
Kodwa-ke, njengoba lesi kuyisimo esingavamile, ngezinye izikhathi udokotela angase ancome ukuhlolwa okumbalwa ukuze aqinisekise ukuthi lesi esinye isimo.
- Ukuskena kwe-Ultrasound kwe-Pelvic: Ungase ucelwe ukuthi wenze ukuskena kwe-ultrasound yesisu.
- I-Voiding Cystourethrogram (VCUG): Lolu uhlobo olukhethekile lwe-X-ray oluvumela ukubona kahle isinyi kanye nomchamo wengane.
Ngenxa yokuthi lokhu akuvamile, ngezinye izikhathi kungaphambaniswa 'nokuphuma kwegazi esithweni sangasese sowesifazane.' Yingakho kubalulekile ukubona udokotela ukuze uthole ukuxilongwa okunembile.
Yiziphi izindlela zokwelapha lokhu? Ingabe ngidinga ukuhlinzwa?
Nakuba lokhu kungase kuzwakale kusabisa, ezimweni eziningi kukhona ukwelashwa okulula kwalokhu. Ukuhlinzwa akuvamile ukufuneka. Ukwelashwa kunqunywa ubukhulu bezimpawu zengane.
| Indlela Yokwelapha | Incazelo |
|---|---|
| Ukhilimu we-estrogen | Lena indlela yokuqala yokwelapha. Lo khilimu kufanele usetshenziswe endaweni njengoba udokotela emyalile. Lokhu kuzoqinisa izicubu kuleyo ndawo futhi kusize ingxenye ephumayo ukuthi ibuyele ngaphakathi. |
| Izindawo zokugeza zaseSitz | Ukugeza nge-sitz kuwukucwilisa imizuzu eyi-15-20 esitsheni samanzi afudumele. Lena indlela enhle yokugcina indawo ihlanzekile futhi unciphise ubuhlungu nokuvuvukala. |
| Ukufaka i-Vaseline | Ukufaka into efana neVaseline kunganciphisa ukuzwela nokuvuvukala kuleyo ndawo. |
| Ama-antibiotic | Uma lesi simo sibangelwa okuthile okufana nokutheleleka komgudu womchamo, udokotela wakho angase akunike ama-antibiotic ukuze akwelaphe. |
| Amacala lapho kudingeka khona ukuhlinzwa | |
| Ukuhlinzwa | Uma ezinye izindlela zokwelapha zingasizi, futhi izicubu eziphumile zivuvukele, zinsomi/ziluhlaza okwesibhakabhaka, futhi zibuhlungu, udokotela angase atuse ukuhlinzwa. Lokhu kuhilela ukususa izicubu eziphumile bese uzithunga ndawonye ukuze zingabuyi. Lokhu ngokuvamile kuwukuhlinzwa okulula. |
Ezimweni eziningi, lesi simo sizophela ngokuphelele ngemva kwamasonto amabili okusebenzisa ukhilimu we-estrogen kanye nokugeza nge-sitz, ngakho-ke asikho isizathu sokukhathazeka.
Umlayezo Wokuya Nawe Ekhaya
- Ukwehla kwe-urethral kuyisimo esingavamile kodwa esingesona esisongela impilo emantombazaneni.
- Uphawu oluyinhloko ukubonakala kwamabala egazi ezingutsheni zangaphansi zengane.
- Uma ubona into efana nale, ungesabi, bonana nodokotela wezingane ngokushesha okukhulu. Ungalokothi ukhethe noma yiluphi ukwelashwa ozizwa sengathi uyakwenza noma wenze lokho abantu abakuzungezile abakutshela ukuthi ukwenze.
- Ngokuvamile, ukwelashwa okulula (okhilimu, ama-sitz baths) kungayelapha ngokuphelele lesi simo phakathi namasonto ambalwa.
- Ukuhlinzwa akuvamile ukudingeka, futhi kuyinqubo elula engenziwa ngempumelelo.
- Kubaluleke kakhulu ukuze ukululama okusheshayo kulandelwe imiyalelo kadokotela wakho ngqo.
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